COVID-19 vaccine confidence among parents of racially diverse children aged 0–12 years old in Canada: The role of major experience of racial discrimination, health literacy, and conspiracy beliefs

Seyed Mohammad Mahdi Moshirian Farahi · Rose Darly Dalexis · Idrissa Beogo · Léa Gakima · Jude Mary Cénat

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Vaccine Coverage and Hesitancy Misinformation and Its Impacts COVID-19 and Mental Health

Abstract

The success of COVID-19 vaccination is linked to trust, hesitancy, and confidence. Racial discrimination impacts vaccine hesitancy and trust, particularly in racialized groups. This study investigates factors influencing COVID-19 vaccine confidence among Canadian parents from different racial groups, addressing a gap in existing research. Data were collected in 2023 (October to November) included 2,528 parents of children aged 0–12. Findings showed significant mean differences between racial groups, F (7, 2520) = 9.92, p < .001, with Arabs presented lower means of confidence (M = 30.26, SD = 9.39) compared to Asian (M = 35.71, SD = 8.14), Black (M = 33.23, SD = 9.50), and Indigenous parents (M = 35.07, SD = 9.45). Multiple linear regression among White participants showed that conspiracy beliefs were negatively associated with COVID-19 vaccine confidence (β = -.60, p < .001), whereas health literacy was positively associated with COVID-19 vaccine confidence (β = .09, p < .001). Results among racialized groups showed that conspiracy beliefs (β = -.23, p < .001) and racial discrimination (β = -.05, p = .049) were negatively associated with COVID-19 vaccine confidence, while health literacy was positively associated with COVID-19 vaccine confidence (β = .31, p < .001). This study highlights the complex factors influencing COVID-19 vaccine confidence among Canadian parents from racialized groups, suggesting that racial discrimination and conspiracy beliefs significantly reduce vaccine confidence, while health literacy plays a crucial role in increasing confidence. These results underscore the importance of addressing misinformation and systemic barriers to trust in vaccination efforts.

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1997Racial Differences in Physical and Mental Health 2020Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: A multi-methods study in England 2020Rethinking Cultural Competence: Shifting to Cultural Humility 2021Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey 2016Exploring the Reasons Behind Parental Refusal of Vaccines 2013A Mixed Methods Study of Parental Vaccine Decision Making and Parent–Provider Trust 2022Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: A systematic review and meta-analysis 2020How to provide anti-racist mental health care

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